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The average premium is a program-wide average of the enrollment charges for all individuals who are eligible to receive a Government contribution, with separate determinations for Self Only and for Self and Family enrollments.
The average premium is recalculated every year.
Per FEHB law, the government will pay the lesser of: 75% of the carrier’s total premium, or 72% of the average premium. The enrollee is responsible for the difference between the government contribution and the total premium.
If the average premium increases, the maximum government contribution also increases.
The chart below shows which options are affected in 2016. These enrollees can choose to remain in Self and Family or select another health plan or plan option during the Open Season. See list below:
Aetna Open Access
Foreign Service Benefit Plan
Mail Handlers Benefit Plan
Health Alliance Plan
Kaiser Foundation Health Plan of the Northwest
Kaiser Foundation Health Plan Northern California
Kaiser Foundation Health Plan Southern California
Kaiser Foundation Health Plan of Colorado
Aetna Health of Utah Inc.
Health Net of Arizona, Inc.
Aetna Whole Health
Kaiser Foundation Health Plan of the Mid-Atlantic States
Aetna HealthFund CDHP/Aetna Value Plan
Kaiser Foundation Health Plan of Georgia, Inc.
Geisinger Health Plan
Coventry HealthCare of Kansas, Inc.
Kaiser Foundation Health Plan No. California
Presbyterian Health Plan
Select Health of Utah
Blue Shield of CA Access+HMO
Postal Employees Only
Humana Health Plan, Inc.
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